Biswas Saptarshi, McNerney Patrick
Department of Trauma and Acute Care Surgery, Allegheny Health Network, Pittsburgh, PA, USA.
Case Rep Crit Care. 2015;2015:265326. doi: 10.1155/2015/265326. Epub 2015 Dec 3.
A 22-year-old male admitted with multiple gunshot wounds (GSW) had central line placed initially for hemodynamic monitoring and later for long term antibiotics and total parenteral nutrition (TPN). On postoperative day 4 he presented with bouts of nonsustained ventricular tachycardia; the cause was unknown initially and later attributed to a catheter fragment accidentally severed and lodged in the right heart. Percutaneous retrieval technique was used to successfully extract the catheter fragment and complete recovery was achieved.
一名22岁男性因多处枪伤入院,最初置入中心静脉导管用于血流动力学监测,后来用于长期抗生素治疗和全胃肠外营养(TPN)。术后第4天,他出现了非持续性室性心动过速发作;起初原因不明,后来归因于一根导管碎片意外切断并嵌入右心。采用经皮取出技术成功取出导管碎片,患者完全康复。